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Licensed CPAs

30+ Years in Practice

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Cash-Pay Medical → IV Therapy Clinics

Accounting for IV Therapy Clinics.

IV therapy clinics run two businesses at once: walk-in drips and recurring memberships, each with a different growth trajectory. Add per-treatment supply costs and RN staffing that's often per-diem, and a generalist chart of accounts loses the thread fast. We track revenue and costs separately, and structure payroll around how your clinic actually staffs.

Patient receiving IV drip therapy with a nurse at bedside

Where IV therapy accounting goes wrong

The problems specific to this model.

01

Per-visit and membership revenue blended

A walk-in $150 drip and a $99/month membership drip are fundamentally different revenue types — one transactional, one recurring — blended together, you can’t forecast cash flow or see which model is actually growing.

02

Per-treatment supply costs untracked

IV bags, vitamins, and saline are a real cost every single treatment. Without per-treatment COGS tracking, gross margin on your most popular drips is a guess, not a number.

03

RN payroll structured like standard clinical staff

Per-diem and hourly nurses administering drips, sometimes with per-treatment incentives, need payroll and comp structures different from a standard clinical hire — most bookkeeping treats them the same.

04

Multi-location or mobile-unit margins invisible

A storefront clinic and a mobile IV unit have very different cost structures. Rolled into one P&L, you can’t tell which format is actually worth expanding.

How we help

What that looks like in practice.

Per-visit and membership revenue tracked separately

Two clean revenue lines — transactional and recurring — so you can forecast cash flow and see which side of the business is actually growing.

Per-treatment COGS tracked by drip type

IV bags, vitamins, and saline costed per treatment, so gross margin on every drip type is a real number, not a guess.

RN payroll structured for per-diem and incentive pay

Payroll built around how your nursing staff actually works — per-diem, hourly, or per-treatment incentive — not forced into a standard clinical-hire template.

Location and format-level P&Ls

Storefront and mobile-unit economics reported separately, so you know which format is actually worth expanding.

Cash-Pay Medical Practices

Six other specialties, one pillar.

See the full Cash-Pay Medical Practices overview →
Direct primary care physician greeting a patient at check-in

Direct Primary Care

Membership dues, panel-size economics, and PMPM revenue recognized correctly.

Concierge physician greeting patients warmly

Concierge Medicine

Annual retainers, provider comp, and structuring for multi-location growth.

Medical spa esthetician performing a facial treatment

Medical Spas

Package revenue, injector compensation, and product inventory that actually reconciles.

Functional medicine consultation with nutrition notes and fresh produce

Functional Medicine

Supplement inventory, lab markups, and membership tiers under one clean chart of accounts.

Longevity clinic providers consulting in an exam room

Longevity

Compounding costs, membership tiers, and compliance-aware entity tax elections.

Naturopathic practitioner preparing an herbal tincture

Naturopathic Medicine

State-specific licensure, dispensary revenue, and solo-owner compensation.

Common questions · FAQ

IV therapy, answered.

As two separate revenue lines — transactional and recurring — so you can forecast cash flow accurately and see which side of the clinic is actually growing.

Yes — COGS tracked by drip type, so you know the real gross margin on every treatment you offer, not just an average across the whole menu.

Yes. We build payroll and compensation around how your clinic actually staffs — per-diem, hourly, or per-treatment incentive — rather than a standard salaried-clinical-hire template.

Separately, at least at first — a mobile unit and a storefront have different cost structures, and you’ll want to see each format’s real economics before deciding how to grow.

Keep exploring

Industries

Cash-Pay Medical Practices

Every cash-pay specialty we work with, one level up.
Industries

Medical Spas

The aesthetic practice IV bars often share a building — or a client — with.
Accounting & Advisory

QuickBooks Setup & Cleanup

A chart of accounts that separates drip packages from membership revenue.

Begin

Talk to a CPA who already speaks IV therapy.

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